Provider First Line Business Practice Location Address:
2068 W AVENUE J
Provider Second Line Business Practice Location Address:
COMMUNITY VISION CENTER LANCASTER
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93536-5913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-609-5340
Provider Business Practice Location Address Fax Number:
661-663-8648
Provider Enumeration Date:
02/23/2007